Q My toddler had a cyanotic breath-holding spell
after a fall where he struck his head on concrete from a height of about four to five feet.
Non epileptic paroxysmal events and the epileptic conditions that they imitate NEPE Imitating epileptic condition Syncope Generalized tonic-clonic seizure, focal seizures, abscence seizures, drop attacks, myoclonic seizures Breath-holding spell
Tonic spasms Sandifer syndrome Tonic spasms, infantile spasm Sleep disorders Frontal lobe seizures, rolandic seizure Benign sleep myoclonus Myoclonic seizure, focal seizures Pseudo-crises Status epilepticus, non-convulsive status, tonic clonic seizures, abscence seizures, focal seizures Migraine Occipital lobe seizures, temporal lob seizures Nepe: Non epileptic paroxysmal events
KEY WORDS: Breath-holding spell
Corrected QT Electroencephalography Iron deficiency anemia.
Some parents may be alarmed about epilepsy, but it may help to describe a typical breath-holding spell
Although there is controversy as to whether or not all patients presenting to the emergency department should be admitted (Claudius & Keens, 2007), to not deviate from the standard of care (Goldberg, Schwartz, & Picard, 2007), there would need to be clear and convincing evidence that the infant only experienced a breath-holding spell
If your child's doctor confirms that the episode was indeed a breath-holding spell
, your child may be checked for anemia.
Once parents have witnessed one breath-holding spell
, often they can predict when another is about to happen.
Some of the most common are syncope, breath-holding spells
, benign paroxysmal vertigo, pseudo-seizures and episodic dys-control or rage attacks.
(cyanotic and pallid infantile syncope).
To date, no prevalence information is available concerning the occurrence of breath-holding spells
Pallid breath-holding spells
, which are less common, are typically initiated by a painful experience, such as falling and striking the head, or a sudden startle.
are events where children will cry until they begin to turn blue with loss of consciousness and collapse.